d92 [44 USC 21
= (13:

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

Date
Page

01/20/98
2021

AGENCY

RECORD NUMBER
RECORDS SERIES
AGENCY FILE NUMBER

AGENCY INFORMATION

INSCOM/CSF
194-10004-10142.

PAGES 382-383 ;

DOD-AFFILIATED PERSONNEL INCIDENT INVESTIGATIONS

ORIGINATOR
FROM

TO

TITLE

DATE

PAGES
SUBJECTS

DOCUMENT TYPE
CLASSIFICATION
RESTRICTIONS
CURRENT STATUS

DATE. OF LAST REVIEW
OPENING CRITERIA
COMMENTS

NW 80613 Docld:34528583 Page 1

DOCUMENT INFORMATION

USA
HAYASHIDA, MYRON K.

: USA INTELLIGENCE COMMAND

{ RESTRICTED ]
02/21/67

2

FROMER, DAVID R.

LEGAL ADVICE

PAPER, TEXTUAL DOCUMENT
UNCLASSIFIED

3

RELEASED WITH DELETIONS

: 03/07/95

Sie Bese ween

Os 1012 2 mn a PN RE

Z "Poms.
SUAREY EE 35 |
hs iy” A8 REQUEST. t as

Tie FBI= S|

Day, MONTH, VE YEAR OF wate 8. PLAGE rat BIRTH se. 7. SERVICS HUMBER
as: daly. aha Chicago, Cook, Illinois 4 ¢

* By REQATIVE'S ‘NAMES 9. DATE AND PLACE OF BIRTH
aw

atuen na Su 193
tert recor

ee MotHin (mbidax nome). - 31 Dee 2909
_Katherin oy Ehotea Lsthgrville, Towa

Pr : “n “ee — 32. RESIDENCES [ ist all from 16th birthdoy or during last 15 years, whichaver is shorter)
ai 1932 ‘Cabrilio St. San Francisco
2450 Bencroft Way Berkeley

881 Clayton Stypoyast COPY OF RESULTS BEn! cisco
m9 N. Basset Pe

> 2. OR
@. STATE: PVE se

_ investigative | Tye
San Francisco counet Comp: Gite Girls ‘sai’ 26 CB.
.|\Palriont Hotel . FBI Identifiqa Sem breasted .
, (Foster's. Restaurant ints: are n¢cSenr Prien reel Cty,
ee Madiscn Board of is Madison, Wisconsin -

prep sta (Op hing oe TF
pe okiass aren POH ey 2
aN S =
FoR BOS NNS gh ee
ea et aes
A ie

x * @., FORMER UB GOVERNMENT EMPLOYMENT OR | MILITARY ee

a ANY QUALIFICATION OF OD FORM 398 OR OD FORM oe .

ne Rana (tf —— space is needed: continue on plain paper) — j : L
ae eueuer > So WHE LIAS OAITIO DD # HE:
MR) Esa a” VAC. NO ADDITIONAL DATA Psi FILES :

ON. PERTINENT TO YOUR ISQUERY.
re ‘ Y(- 23B-6E,*

——
Faw, loll Fhe se
| reeaiené el? woe 09 1967
at

tad

18. FROM: DcofS ,Operations
Headquarters , USAINTC
ATIN: TCOP Tit :

FINGERPRINT CARD FD 258 MUST BE ATTACHED

7 [aSOa7 b6353- Gok DEC 58. WHICH IS ORGOLETE. w OLD3/ 57

per OE nc hr

NW 60613 Docid:34528583 Page 2

\ twp tye ot

(6353-6004) 18 a °

FROMER, David Reed
DPOB: 21 Jul 42; Chicago, D.linois

Con't - Item 16 (Remarks)

Item 15 - SUBJECT explained in the "Remarks" section as follows: "I have not
done anything that I am not proud of) - I have been advised by my attorneys that
I cannot sign this form without placting myself in jeapardy: Peter Franck -
personal attorney, Vincent Hallinan - family attorney."

FBI reports, San Francisco, California, titled: David Reed FROMER, with
Bureau File #: 100-433071, dating from 3 May 1960 e latest dated 23
equest any additional

November 1966, are in the possession of this offic
and/or subsequent information.

Dat

SN ON ag mE eB Ee ee te . - a ec le RR er ete

' NW 88613 Docid:34528523 Page 3

